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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # LE <br /> COMPUTER/PERMIT# <br /> SITUS/FACILITY ADDRESS: <br /> DBA: Y� I a f �qjS rn d <br /> BILL TO: PHONE: <br /> BILLING ADDRESS: <br /> CITY/STATE: ZIP: <br /> PROGRAM: TYPE OF SERVICE: <br /> THE NUNIMUM TIME FOR EACH INSPECIiON IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIME IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TDAE. <br /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> �� 8AM- 4:30PM48AM/ <br /> D 4:30PM WEEKENDS <br /> 11-1-q2 <br /> 10::3Z5--�:O In&Le-Flvls w4 f <br /> yon cleanup <br /> 5 vIt. w Divt .s� <br /> 3:00 <br /> rrt vls14- 4v obse-rv4-,- <br /> v cess <br /> sk}e vw a-Tra-Fay/ OH <br /> aAr1 �rn .. <br /> 17I, "0(°:ov s�4e vq- R-rsF <br /> 12 r` 1:vo- �9 µOwl�Z �5;00 M w A d <br /> - �-•( <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />